A. Academic Division: Health Sciences B. Discipline: Respiratory Care MASTER SYLLABUS 2018-2019 C. Course Number and Title: RESP 2410 Respiratory Care Equipment/Procedures IV D. Course Coordinator: Tricia Winters, BBA, RRT, RCP Assistant Dean: Melinda Roepke, MSN, RN Instructor Information: Name: Office Location: Office Hours: Phone Number: E-Mail Address E. Credit Hours: 3 Lecture: 2 hours Laboratory: 3 hours F. Prerequisites: RESP2310, RESP2390 Co-requisite(s): RESP2450, RESP2470, RESP2490 G. Syllabus Effective Date: Fall, 2018 H. Textbook(s) Title: Manual of Pulmonary Function Testing Author: Gregg L. Ruppel Copyright Year: 2009 Edition: ISBN #: 9780323052122 Egan's Fundamentals of Respiratory Care Authors: Kacmarek, Stoller, and Heuer Copyright Year: 2012 Edition: ISBN #: 9780323082037 I. Workbook(s) and/or Lab Manual: None J. Course Description: In this course, students will learn about advanced pulmonary function testing techniques and equipment, electrocardiograms, breathing exercises, pulmonary and cardiac exercise testing, bronchoscopy, polysomnography, indirect calorimetry, pulmonary rehabilitation, and home care. Updated: 04-04-2018 Page 1 of 5
K. College-Wide Learning Outcomes: College-Wide Learning Outcome Communication Written Communication Speech Intercultural Knowledge and Competence Critical Thinking Information Literacy Quantitative Literacy Assessments - - How it is met & When it is met Report Paper on Pulmonary Rehabilitation Communication Written VALUE Rubric Week 12 Class presentations on Pulmonary Rehabilitation and Home Care, completed week 10 & 12 Information Literacy VALUE Rubric L. Course Outcomes and Assessment Methods: Upon successful completion of this course, the student shall: Outcomes 1. Interpret the results of the following: a. Cardiology Testing: Electrocardiography, Holter Monitoring, Stress Testing b. Pulmonary Testing: Six Minute Walk Test, Metabolic Assessment, Stress Testing, Adult Sleep Studies c. Pulmonary Function Testing: Spirometry, Methacholine Challenge, Nitrogen Washout/Helium Dilution, Diffusion Study, Plethysmography, Pulmonary Function Test Quality Assurance 2. Act as an Assistant to the Physician Performing Special Procedure including: a. Pulmonary Testing: Bronchoscopy Assisting, Metabolic Assessment, Stress Testing, Holter Monitoring b. Endotracheal Tube/Tracheostomy Care: Securing Artificial Airway, Tracheostomy Care, Cuff Management, Heat/Moisture Exchanger, Intubation, Extubation c. Cardiology Testing: Holter monitoring, Cardiac Stress Testing d. 3. Prescribe pulmonary rehabilitation and home care explain planned therapy and goals to patient in understandable terms to achieve optimal therapeutic outcome. Explain and assess patient and family need for disease management and smoking cessation. Summarize the Medicare laws pertaining to Home Care Assessments How it is met & When it is met Procedure Check-offs weeks 2, 4, 6, & 14 Examination Week 8 lab check-off weeks 2, 4, 6, 8, 10, 12, 14, 16 Project portfolio, Rubric week 14 Examination week 8 Updated: 04-04-2018 Page 2 of 5
Outcomes 4. Perform procedures including: a. Cardiology Testing: Electrocardiography, Holter Monitoring, Cardia Stress Testing b. Endotracheal/Tracheostomy Care: Tracheostomy Care, Tracheal Suctioning c. Pulmonary Function Testing: Spirometry, Methacholine Challenge, Nitrogen Washout/Helium Dilution, Diffusion Study, Plethysmography, Pulmonary Function Test Quality Assurance Assessments How it is met & When it is met Laboratory Check-offs weeks 2, 4, 12 Examination week 8 M. Topical Timeline (Subject to Change): 1. Basic 12 lead EKG Techniques and recognition Lecture and lab performance a. ECG measurements b. ECG Electrodes/Leads c. ECG Instrumentation d. ECG Interpretation e. Rhythms f. ECG Arrhythmias g. Irregular rhythms h. Fast rhythms i. Paroxysmal tachycardia j. Flutter k. Fibrillation l. Early and late Beats m. Heart Blocks n. Miscellaneous Rhythms o. Axis Deviation p. Hypertrophy q. Myocardial Infarction: 1) Anterior 2) Posterior 3) Lateral 4) Inferior 2. Bronchoscopy: a. equipment b. indications, contraindication, risks, precautions c. Respiratory Therapists role: pre, during and post procedure d. Types of Bronchoscopy procedures: 1) Bronchial alveolar lavage 2) Endobronchial biopsy 3) Transbronchial biopsy 4) Transbronchial needle aspiration biopsy 5) Cytology brush 6) Cryotherapy 7) Argon therapy 8) Stent placement e. View BAL videos 3. Polysomnography a. equipment b. indications, OSA verse CSA c. definitions and terms pertaining to the field d. interpreting the tracing e. treatment of OSA Updated: 04-04-2018 Page 3 of 5
4. Home Care a. AARC Clinical Practice Guideline b. Reimbursement c. Oxygen d. CPAP e. Mechanical ventilation f. Tracheostomy care 5. Pulmonary rehabilitation a. program design b. program implementation c. content and methods for teaching nutrition d. smoking cessation e. muscle training/breathing exercises f. control and relaxation g. sexuality 6. Cardiac and Pulmonary Stress Testing a. Indications, contraindications, hazards, precautions, risks b. Types of cardiac Stress tests: 1) Bruce protocol 2) Adenoscan 3) MUGA 4) Dobutamine 5) Persantine 6) Regadenoson (Lexiscan) c. Interpretation of Normal results d. Interpretation of abnormal results e. Pulmonary stress test 1) indirect calorimetry monitoring 2) CO 2 uptake 3) O 2 Max 7. Pulmonary Functions: a. Lung Volumes and Capacities, TLC, VC, IRV, ERV, IC, FRC, Vt, RV b. Flowrate, PEFR, FEF 25-75, FEV1, FEV1/FVC c. Diffusion studies, DLCO single breath d. MVV, Before and After Broncho-dilation e. Bronchopulmonary provocation, methacholine challenge f. Interpretation of results g. GOLD Standard h. Tracings, Flow Volume Loop and spirogram tracing i. Calculating flows and volumes from spirogram tracings and flow volume loops N. Course Assignments: 1. Lecture, discussion 2. Laboratory exercises 3. Projects and presentations 4. Demonstrations 5. Field trips to hospital labs 6. Worksheet assignments O. Recommended Grading Scale: NUMERIC GRADE POINTS DEFINITION 93 100 A 4.00 Superior 90 92 A- 3.67 Superior Updated: 04-04-2018 Page 4 of 5
87 89 B+ 3.33 Above Average 83 86 B 3.00 Above Average 80 82 B- 2.67 Above Average 77 79 C+ 2.33 Average 73 76 C 2.00 Average 70-72 C- 1.67 Below Average 67 69 D+ 1.33 Below Average 63-66 D 1.00 Below Average 60-62 D- 0.67 Poor 00-59 F 0.00 Failure P. Grading and Testing Guidelines: Q. Examination Policy: R. Class Attendance and Homework Make-Up Policy: S. Classroom Expectations: T. College Procedures/Policies: Important information regarding College Procedures and Policies can be found on the syllabus supplement located at https://sharept.ncstatecollege.edu/committees/1/curriculum/siteassets/sitepages/home/syllabus %20SUPPLEMENT.pdf The information can also be found Choose an item. Updated: 04-04-2018 Page 5 of 5